Title
Eosinophil-derived IL-4 drives progression of myocarditis to inflammatory dilated cardiomyopathy
Date Issued
01 April 2017
Access level
open access
Resource Type
journal article
Author(s)
Diny N.
Talor M.
Barin J.
Ong S.
Bedja D.
Hays A.
Gilotra N.
Coppens I.
Rose N.
Čiháková D.
Investigación médica naval
Publisher(s)
Rockefeller University Press
Abstract
Inflammatory dilated cardiomyopathy (DCMi) is a major cause of heart failure in children and young adults. DCMi develops in up to 30% of myocarditis patients, but the mechanisms involved in disease progression are poorly understood. Patients with eosinophilia frequently develop cardiomyopathies. In this study, we used the experimental autoimmune myocarditis (EAM) model to determine the role of eosinophils in myocarditis and DCMi. Eosinophils were dispensable for myocarditis induction but were required for progression to DCMi. Eosinophil-deficient ΔdblGATA1 mice, in contrast to WT mice, showed no signs of heart failure by echocardiography. Induction of EAM in hypereosinophilic IL-5Tg mice resulted in eosinophilic myocarditis with severe ventricular and atrial inflammation, which progressed to severe DCMi. This was not a direct effect of IL-5, as IL-5TgΔdblGATA1 mice were protected from DCMi, whereas IL-5-/- mice exhibited DCMi comparable with WT mice. Eosinophils drove progression to DCMi through their production of IL-4. Our experiments showed eosinophils were the major IL-4-expressing cell type in the heart during EAM, IL-4-/- mice were protected from DCMi like ΔdblGATA1 mice, and eosinophil-specific IL-4 deletion resulted in improved heart function. In conclusion, eosinophils drive progression of myocarditis to DCMi, cause severe DCMi when present in large numbers, and mediate this process through IL-4.
Start page
943
End page
957
Volume
214
Issue
4
Language
English
OCDE Knowledge area
Inmunología
Scopus EID
2-s2.0-85018455334
PubMed ID
Source
Journal of Experimental Medicine
ISSN of the container
0022-1007
Sponsor(s)
We thank Lei Wu, Xuezhou Hou, HeeSun Choi, Guobao Chen, and William Bracamonte-Baran for insightful discussions; Marc Halushka for taking biopsy images; the animal resources at Johns Hopkins University, Elizabeth Gebremariam, and Julie Schaub for mouse colony management; and Sean Doughty for manuscript editing. This work was supported by grants from National Institutes of Health/National Heart, Lung, and Blood Institute (R01HL118183 and R01HL113008) to D. Ciháková, an American Heart Association Predoctoral Fellowship (15PRE25400010) and Johns Hopkins Bloomberg School of Public Health Richard J. and Margaret Conn Himelfarb Student Support fund to N. Diny, and a Gilead Sciences Research Scholars Program and American Autoimmune Related Diseases Association grant to J.G. Barin. The authors declare no competing financial interests.
Sources of information:
Directorio de Producción Científica
Scopus